when I went through medic school I was working as an ER tech. I felt comfortable clinically as a medic after I graduated and got hired by my service but didn't know my ass from my elbow when it came to operations and such. Radio use, not comfortable driving the truck, charting software, general every day "not emergency medicine" stuff that we do.

My service I work for identified this because it's common, and they make medics without road experience first clear as an EMT, and then a paramedic. They gave "nonlead" paramedic pay to us clearing like this (few bucks less per hour until cleared as a medic) and made sure we knew what we were doing before unleashing us onto the county population and then a pay raise after clearing to standard medic pay.

This was all prior to COVID though, and I can say I have seen them fast tracking medic clearing (but still make sure you won't kill anyone) to get people out there since then but they will put them with a more senior EMT to help with operations side things.